Previously on Grey's Anatomy:
Marry me, Cristina Yang. Are you saying yes?
- Yeah. - We're married!
Adele and I are getting a divorce.
Has it even occurred to you that maybe I'm not interested?
I raised you to be an extraordinary human being,
so imagine my disappointment when I wake up
and discover that you're no more than ordinary!
You want to know why I'm so ordinary?
You want to know what happened to me? You. You happened to me.
Disappearances happen in science.
Disease can suddenly fade away. Tumors go missing.
We open someone up to discover the cancer is gone.
It's unexplained, it's rare, but it happens.
We call it misdiagnosis.
Say we never saw it in the first place.
Any explanation but the truth.
That life is full of vanishing acts.
If something that we didn't know we had disappears, do we miss it?
Meredith?
Meredith? What are you doing?
I was taking a bath.
- That's not a bath. - Drop it!
- Your mother... - Drop it!
Your mother... Look, your mother was lucid and she said things.
- Now she's... - Gone.
Everything's back to normal. It's not a big deal.
Except she's having heart surgery today. Do you want to talk to the chief?
You have the triage thing, but he'll give you the day off.
Stop. I do not need rescuing.
You would have drowned in the bathtub had I not been there.
I'm a surgeon. I do the rescuing.
You are not my knight in shining whatever.
We're gonna fight 'cause I pulled you out of the tub?
You have a place you can sleep at.
Then you don't have to pull me out of the tub.
- You're everywhere. - This is the happy ever after part.
In the happily ever after part, the guy is there all the time
- and the girls love it. - Go to work. I'll see you there.
Just for the record? I am your knight in shining whatever.
Morning.
I did not try to drown myself in the bathtub.
Hey, I ate everything out of the fridge last night.
Everything. Including a tub of butter.
There's no judgment here.
- You ever feel you're disappearing? - All the time.
Why can't I just be that happily ever after person?
Why can't I believe in that?
I don't know what I believe in anymore.
- We're not telling people. - I haven't.
- I know. I know. Just don't. - I'm not going to. Yet.
I just... I need to tell my friends here first.
I have friends here.
- Shepherd. - No, you can't tell Shepherd.
You cannot tell Shepherd until I've told Meredith. It will be a thing.
You act like this is a disaster. The world won't implode if people know.
I will tell them. Today. Just... wait.
- Morning. - Good morning.
- Morning. - Morning.
What's different?
- Nothing. - Leave him be.
- What happened to your hair? - Nothing.
Mm-hmm.
See? Look. Watch.
- What happened to your hair? - Ahem. Leave him be.
- He dyed it. - But why?
- Ow! - Leave him be.
- What are you doing? - What?
OK, but why?
Men who have gray hair are noticed less than men who don't.
By who?
- Well... - By the ladies?
- It looks good, chief. - Very natural.
Ladies will love it.
He is alone. All alone.
Do any of you know what that's like?
Lives with Cristina, dates the perfect 12-year-old, man-whore!
His wife left him after 25 years of marriage.
So if the man wants to dye his hair for the ladies,
let him dye his hair for the ladies. Leave him be.
It's weird. Weird. It's weird, right?
I need more triage tear tags.
Working with somebody I'm married to is weird.
I mean, I'm his boss and his wife.
At work, I'm giving him orders. In bed, he's giving me...
Stop there! I don't need to know this. I'm tired, I'm busy.
While I concede you and O'Malley have some challenges to overcome,
I'm asking you to remember that this day is a marathon,
and my mind can only hold what it needs.
Your sex life cannot be held in my mind today. Ever.
It cannot be held in my mind ever.
- Whatever. - Sydney Heron here to lend a hand.
Hey! Hi! Hello! Miranda. Hey, nice clinic. Very nice.
- Hey, Sydney. - I mean, real, real nice and cheerful.
No better way to distinguish yourself for chief resident
than to open a multi-million dollar clinic.
- Smart thinking. Strategic. - Chief resident?
I myself have used the time to master complex surgical procedures.
But this is, um, another way to go.
- What is she talking about? - Chief resident.
Yeah, for next year. The one fifth year resident that rules all residents.
Oh, she... OK, she's cute, acting like she didn't know about it.
- I'm not cute. - I'm on to you, OK? I'm a competitor.
- Grr! - I bite.
Oh! Well, I'll just wait for you in the pit.
- What? - Nothing.
- What? - OK, cranky. Forget it.
Am I the only one who thinks the triage test is a waste of time?
There's a platysmaplasty on the board.
- George, hey. - Hey.
- How's it going? - Good.
- You like living in a hotel? - Yeah. It's good.
Because your room's still there. Next to mine.
- Oh, Izzie... - I'm just saying,
if you don't like the hotel, you can always just move right back in.
You think I'm this boy that you need to save.
I get that, and it would be sweet if it weren't so condescending.
Is it too much to ask to be performing actual surgeries?
We are actual surgeons.
- What? - Nothing.
A lot of arm swelling, but good distal pulses
so we can rule out compartment syndrome.
I suspect a radius fracture so I'd splint and get an ortho follow-up.
Anything else?
- No. - OK. Then I guess this means...
- Time. - And I'm dead!
Dead?
You sent her home. The bone punctured her skin.
She had multiple wounds and abrasions.
A puncture over a break is an open fracture until proven otherwise.
- I got septic and died, thanks to you. - Whatever.
Not "whatever" to dead "minor puncture wound that's not" guy.
Be quick and thorough while using your instincts.
You can't be fooled by your eyes.
If you assess wrong, your patient could die.
Karev. You're next.
I already killed her. You can't do more damage than that.
People. Triage is one of the most important tools a doctor has.
In a real emergent scenario, you'll have only minutes...
And it's something you'll be tested on in your surgicals.
- Sorry. - George.
I'm just recording the drill. Yeah.
All right. We're working, George. I'm your boss right now. All right?
- Yes. A very sexy one. - You cannot undermine my authority
in front of the interns, in front of my peers.
O'Malley, take that back to the clinic where it belongs.
- Sorry. - People. Look, I'm sorry.
I have to interrupt the session.
Chief, I like your new hair. It really brings out your eyes.
Do you need something, sir?
We received word of a mass casualty incident.
All trauma centers have been asked to respond.
- I need to send a team immediately. - This part of the exercise?
Are we supposed to act appropriately, uh, tense?
This is not an exercise or a drill, Yang.
This is an emergent situation. I need all hands on deck.
- What happened? - I don't have details, just orders.
- Meredith. I have a thing. News. - You're not pregnant again, are you?
Because I can't handle the extra months of bitchiness.
We're catching a ride with Seattle 34.
Space is tight, so hold your kits on your lap.
- Where are we going? - We'll know when we get there.
Fire? Flood? Volcano? I'm not dressed for a volcano.
- Stevens. - Sorry. Inappropriate.
Whoa, whoa, whoa.
I'm hauling supplies. I only have room for five.
- Yang. - Yes?
Stay and take care of the incoming wounded.
- The rest of you come on. - Stevens was inappropriate.
Hey, what was your, uh, news?
Forget it. Forget it.
Everybody, move your IDs to the outside of your jacket.
When we get there, remember triage. Karev?
Green tags, non-emergent. Yellow, delayed care.
- Red needs immediate treatment. - Assess carefully,
tag and get all critical patients into the ambulances as fast as possible.
Don't get in the way of Search and Rescue and stay calm.
- Any word on what happened? - All we know is multiple traumas.
Holy mother of...
Emergency! Coming through!
Daddy! Daddy!
Dr. Bailey? Where do you need us?
Where should we start first?
Dr. Bailey!
I don't have time to hold hands. You know the protocol.
- Do what? - Go help people.
- You need some help? - Nothing more I can do here.
- How did this happen? - A fog bank.
Container ship clipped the ferry.
Fourteen and fifteen! Let's go!
OK, take a deep breath for me.
You're gonna be OK. Your injuries are minor.
An EMT is gonna take you to the hospital.
Is this your mommy?
Who were you with?
Talk to the captain!
OK. I want you to stay right here, OK?
- Stay right here. - No!
Did you wet your pants? That's OK. It happens sometimes.
- Coming through! - We need a wreck team down on the dock.
I'll find out where we're going.
This doesn't make sense.
Ferry boats don't get in accidents. They're safe. They're reliable.
The moment you take one for granted, along comes a container ship and boom.
I have a thing for ferry boats.
Reschedule Swanson's valve replacement.
We're going to need the OR for the incoming for the ferry accident.
- OK. - This whole day has just been...
Something's wrong with Meredith.
I asked her what's wrong, she says nothing.
She tries to drown herself in the tub.
Not actually drown, I don't think, but something was going on.
She will not talk about it.
I mean, we were fine, now it's like... I'm living with a ghost.
- You're confiding in me. - Yes.
- Cristina and I are engaged. - Congratulations.
She doesn't want to tell anyone.
Not until she tells Meredith first.
Yeah. They're different than other women.
Yes, these women? Yes, they are.
Maybe we'll never really know them.
Now you're engaged, you have a lot of work to do.
Right.
You and Yang are getting hitched?
There's a mass casualty incident rolling in.
Probably be some burn victims. You should be prepared.
Oh!
Sydney, I thought I could take a few patients off your hands.
I appreciate the gesture, Dr. Callie O'Malley.
But the chief asked me to roll the non-emergent ER cases into the clinic
and take care of them. I triaged these patients
and so far it looks like a sore throat, a sprain and a tummy ache. Easy breezy.
- So the clinic and I are fine. - OK.
I'm not, uh, trying to take the clinic, Bailey's clinic, away from you.
I'm offering to help.
Your offer to help is duly noted and much appreciated, but I promise you,
I got it all under control. Jason Kaye?
- Yeah? - Fine. I'll leave you to it.
And find myself a recently traumatized emergency surgery to scrub in on
while you stay down here
with your sore throat and your sprain, and what was the other one?
- Tummy ache. - Whoo!
Jason Kaye?
Let's clear a path! Ambulance 15. Search and Rescue.
- I got it! - Check those pliers.
Are you a nurse? Doctor? Or a medical something?
- I'm a doctor, but... - Come with me.
You need to get checked. There's a treatment area.
- Follow me. - You've got some bad burns.
- They need to be treated. - My buddy's trapped under a car.
You need Search and Rescue.
- They have medical... - They're backed up and he can't wait.
He's in a real bad way. Please. He's my best buddy. Please.
Just pull the tools off the truck.
Shepherd, I need you in the next rig.
- I want you at that scene. - You don't need me here?
There are lots of head injuries.
And I want you to get in there and bring them back alive.
- What's the news? - Shepherd and Grey are on the rocks.
Burke and Yang got engaged.
You need highlights.
In your hair. That's why it looks so odd.
I'm going to go save lives.
Take him to the treatment area. They'll fix you up there, OK?
Come on. Let's go.
I got somebody down here!
Hey! That's not secure!
Hey!
- I need you to get back up here. - There's a pregnant woman down here!
- Oh, hell. - She dead?
Yeah.
Hold on a second. Hold on. Hold on.
Hold on.
Immediate! Immediate! I need help down here!
He's back! He's got help.
You hear that, Rick? We got help.
We got a doctor. You're gonna be OK now, man.
He's going to be OK.
Right?
What we do know at this time, or what we can tell you,
is that there have been deaths.
We don't know how many and we may not know that for hours or days.
We also know that passengers are still being evacuated.
A ferry of this size can carry anywhere up to 1, 000 or 1, 500.
You'll need these for the influx.
We're going to need plenty of available open chest trays, central line kits
- and the intubation cart. - Yes, sir.
We don't know how many people could still be left on the boat.
- Oh, Yang? - I know.
- Communicate with the scene as needed. - No. I heard you were engaged.
- Congratulations. - Thank you, sir.
All right, go. Remember, we're hoping for the best,
- but preparing for the worst. - Right.
- You got anyone for me? - Those two need to be transported.
These five didn't make it, four adults and one child.
A child? You found a dead child? Boy or girl?
You're injured. Lie down. Get a stretcher, now!
Is the child a boy or a girl? I can't find my son.
We got separated. I need to know if my little boy is alive.
The child was a little girl. No, no, no.
I need to examine you and take you to the hospital.
No, I can't leave! He's only seven. No! And he's all alone!
- No, I will not leave my son behind! - No, I will find him.
Listen to me. I will find him.
Ifyou'll let me take you to triage, I promise you I will find your son.
- He's so scared. - All right. I know.
- I'll find him. - OK.
OK?
He's a mechanic. We work together.
We drive together to work and suddenly there's this huge jolt.
We were just trying to get out, but Rick went back.
He figured we could help, we should help.
He went back. There were people trapped.
We were right behind him.
Injuries to his chest and legs. His arm is broken,
and there's damage to his spine and pelvis. I can't...
There's not much I can do until we get him out of here.
You got to do what you can.
I mean, we'll, uh... Greg, go find some more guys!
Hey. Go find Search and Rescue, OK?
Give them this. Tell them I said he can't wait.
- He has to get to a hospital. - All right, I'm going.
He needs a CT. Keep his neck stable.
Ask for Waller. Waller's not available, ask for Krychek.
OK? Keep him stable. What do you got?
Nurse, let me have some bandages. Thank you. Stop here.
- Derek. - Hey. You got a free hand?
Hold this bandage for me, will you? You all right?
Yeah. It's just a lot.
Do you want to get married?
You haven't told me and I haven't asked.
What? No, I don't want to get married. You want to get married?
No. Good.
- If that's not it, what is it? - It isn't anything.
Are you good? I got to get this kid to triage.
- Is she all right? - Yeah, she's good. She's just lost.
Hang in there. We're going to get you to the hospital soon.
Liar]
All non-emergent surgeries have been postponed.
- Good. - I'm going to go check on discharges.
I'm trying to free up as many beds as I can on the surgical wing.
- Oh, I was going to do that, but... - I can do it.
Uh... Sure. Good.
- Unless you want to. - No. No, go ahead.
- You're still the chief. - I know that.
- It just seems so quiet, you know? - Yeah.
We're expecting the first wave from the scene soon.
I dyed my hair blond.
The day after Derek moved out.
Change is good. Your marriage is over.
You're... you're starting over.
So am I.
Right.
I specifically told you I needed to tell Meredith first.
I was talking to Shepherd and it just came out.
- It's no big deal. - Wait, it is a big deal.
She's not even going to care about the fact I'm getting married.
She's gonna care that I didn't tell her myself.
And why didn't you?
There was a major disaster.
That was 45 minutes after we discussed it.
You were with your friends for 45 minutes running triage drills,
and you weren't compelled to mention it?
The chief says they're rolling in soon, so...
Her pressure's low. I don't see any good veins for an IV.
She's clamped down from hypothermia.
I've never seen a crushed injury so bad and survive. God, she's a mess.
She needs to stay on her left side. We got to move her on her left.
It's going to take both of us. Got to get that BP up. On my count.
One... two...
Your baby. Your baby's OK. For now, it looks OK.
Just try to breathe.
We need to move you to help with your circulation, OK?
One... two... three.
Pulse is better. I'll attempt IV access again.
Breathe through the pain.
What you can do for your baby right now is take care of yourself. Good girl.
I know it hurts. Come on, now. Keep breathing for me, OK?
That's it.
Keep breathing.
Good.
What do we...?
- So, what do we do? - We wait.
- We wait? - We wait.
OK, we need to find a grown-up.
Another grown-up to help you find your mom.
Come on! Come on! Let's go.
Hey. Uh, I need you to take this little girl to the triage tents.
- I got to get to my unit. - No.
I need you to take this little girl to the triage tents for me. Please.
You're going to be OK. You're going to be fine. I promise.
Thanks.
- Help! I need some help over here! - Stay right here.
How we doing?
Bad, but a lot of survivors, that's something.
- It is. - Have you seen Stevens?
- No. - What about O'Malley? Grey?
I saw Grey ten minutes ago. She was on her way over here.
- You haven't seen her? - No.
I got to head out with this one, so keep an eye out for my interns, all right?
I'll do my best.
Six months pregnant, found under a pile of rubble.
Crush injuries to her right torso as well as trauma to the face.
BP initially low, but up to 90/60 after a liter of fluid
- and placing her on her left side. - What do we do? Karev?
ABC.
Her airway needs to be protected, her breathing will be compromised.
We need blood available. I would do a trauma panel,
type and cross, CTs of the head and neck.
Excellent. Let's get her started. Trauma room two.
One, two and three.
Let's see what we have here.
The baby is going to...
Make sure you shield her in radiology.
Get her stabilized before worrying about the baby.
- The amount of rads are negligible. - But she's going to need a lot,
- and we need to protect them both. - Yang, you're on this.
Alex, go to the clinic.
- The victims' families need answers. - I pulled her out of the damn water.
Which is heroic and manly. You need to talk to those families.
- Why can't Yang do it? - This is all hands on deck.
Yang can handle this. Now go.
OK.
He likes fire trucks, police cars. Anything with flashing lights.
Carlee Heit, 45-year-old female found at the scene.
Open abdominal wound with omental evisceration.
We need to get her to an OR as soon as possible.
He won't respond if you call him Christopher.
- Just Chris. - OK.
- O'Malley, what is she talking about? - She lost track of her son.
Dr. O'Malley and I made a deal. He's going to find my son,
so I know that Chris is OK, before I go into surgery.
Your injury is extremely serious.
- We need to tend to it. - As soon as he's located.
I can't go into surgery before I know about my son.
- I'm sure he's here. - Just find the boy in a hurry.
We'll start your work up.
- I need more gauze. - There's no more here.
Maybe you could find some paper towels in the head?
- I'll find something. - Vince.
- Man, it hurts like hell. - Can you do anything about that?
- You got anything for the pain? - I've given him everything I've got.
- Where is Search and Rescue? - It hurts.
What hurts, man?
Everything.
Maybe if I set his arm, it will help some with the pain.
- What are you waiting for? - I...
- What? - Nothing.
- Just stay there and hold his hand. - Hold his hand?
You think he's in pain now? He's not.
Place both hands on opposite sides of the fracture.
Distract, exaggerate and reverse the mechanism
in one continuous motion.
- You are a doctor, aren't you? - Shut up.
All right.
All right, Rick, you ready?
Yeah.
One.
Two.
- What happened? - Some metal something hit my leg.
Thrown off. Swimming. God, it hurts!
- It hurts! - OK.
I started swimming. I needed to go.
I got a meeting.
I'm sorry! I'm sorry, sir! Try to stay still.
Don't look. Turn around.
I need you to be brave for me.
Just stand right there and don't move. And don't look.
- What do we got? - We just got started.
All right. But I got this.
There's nobody covering my service.
Get up to telemetry and check on my patients, pre-op and post-op.
Then I should join you in surgery?
No, and then you should report to the pit.
- The chief assigned me to Jane Doe. - Yes. And now I'm reassigning you.
To do what? Sutures?
Yes.
OK, so you're saying you don't want me to scrub in?
Dr. Yang, I'm saying that I have an unattended cardiothoracic wing,
and a pit full of patients that you have the ability to help.
I don't need you in the OR, I need you on the floor.
Do you have a problem with that?
No.
Thank you.
No, not... Chris Heit.
He's seven. He's got brown hair.
I don't know if he's injured. I'm...
Could you at least check to see if he's there?
I know all the families were directed here. Could you just check?
Thank you. Yeah. Callie?
- I need some help. - I can't. I'm busy.
OK. It's just I'm trying to find this...
I'm busy. I'm about to go into surgery.
- I can't be your wife now. I'm working. - I am too.
- I have a patient who needs surgery. - So do I.
Yes. Any luck?
Thank you.
OK. Damn it!
Can I get some help over here?
Sweetie? Listen to me. I need you to turn around.
I told you to face away from me, but we have to work together to help this man.
I don't talk either when I get scared.
I don't... talk when bad things happen.
You don't have to say anything.
But I need your help.
OK. Don't look down. Don't look at the blood. Look at me.
Look at me. Can you be my assistant?
OK, good.
I can't move my hands right now, so I need you to go over to my kit
and pull out the things... They look like, um, tweezers.
You know what your mommy uses to pull a splinter out with?
Hey. What was the site like? Was it gory?
Was it trauma bonanza?
I mean, obviously terrible.
- I don't talk to thieves. - What?
You stole my Jane Doe out from under me.
I am not a thief. You balked.
- You're a balker. - I was thinking.
Not my problem that thinking is time-consuming for you.
I rescued her. I climbed down, I pulled a massive pylon off of her.
- I got her here alive. - Pylons? There were pylons on people?
Now I get stuck baby-sitting the patients' families
- while you get to scrub in. - Well, I'm not scrubbing in.
- I'm stitching up patients in the pit. - Ah. Who'd you piss off to get that?
I happen to be pulling gaping pieces of flesh back together.
Mmm. You're stitching.
You're one step closer to knitting your grandma a sweater.
- At least mine's medical. - Knitting. I pull pylons off people.
Orange juice? Orange juice?
Orange juice? Oh, sweetie.
Yeah, his color's not good. Do you want some orange juice?
Maybe I have some wheat crackers.
- Yeah. - No?
Everybody, if you're waiting to hear about your families,
we should be hearing something very soon. I'm sorry.
He must've saved at least a dozen people who were stuck.
- We told him not to go back. - That's the kind of guy he is.
He's the guy that goes back.
- He's got kids, too. Five of them. - OK, I'm committed to the project.
I don't need to hear about the kids.
- Leave the girl alone, Vince. - Sorry.
You're doing a real great job, doc.
- How's he doing? - He's doing all right.
No! No, he's not!
I can't do anything until we get him out.
Why have you come back by yourself?
Search and Rescue said they'd come when they can.
- Did you show them the red tag? - They said they got 15 red tags.
Come on, guys. Don't worry about me. I'll be fine.
No, don't do this, man. Stay with me!
- What happened? - He let go of my hand! He's gone limp!
Rick! Wake up, Rick!
Hey. I'm not going to be able to make it to your surgery.
Here's the thing.
You were crushed underneath a cement pylon.
Dozens of people on that ferry boat died.
But you're still alive. So when I come to check on you after the surgery,
you'd better still be alive. All right? You hear me?
All right.
BP's stable. So is the baby's.
You did good, Karev.
Is she going to be OK?
Yeah, we're going to...
- We're going to do everything we can. - What about the baby?
Is she going to be able to carry it to term?
Um...
You should get back down to the clinic.
Mrs. Heit, it's time.
We need to operate before you lose any more blood,
or your bowels start to die.
Just wait until Dr. O'Malley finds my son. Please.
Dr. O'Malley?
George? Did you find him?
Is he OK? Is he awake?
One of his pupils is blown. We don't have time.
What're you going to do? You can't let him die.
- Sorry! I'm doing what I can! - It's not enough!
Please!
They're not going to get him out soon.
Figure out a way to help him. Right here. Right now.
I don't understand.
- I haven't been able to find her yet. - Finally!
- Kelly Winter! - Fatima is a little girl...
Hold on! Hold on! I'm Dr. Karev.
This is a very rough situation,
and I can assure you we're doing everything we can.
The following are the patients we have identified at this time.
John J. Anders, Kirk Demorast...
This is the same list they gave us a half hour ago. It's posted over there.
- I understand. - Please, just Kelly?
She's got brown hair. She's about five-four.
We had a lot of people who came in without ID.
Take us to the ER and we'll look for ourselves.
- We can't let you do that. - Why not?
Those are our kids in there!
OK.
Now, I have to deflate the blood pressure cuff and see if he bleeds.
OK. We saved him. You helped.
We just have to bandage him up.
We're going to find someone to take him to the hospital, then find your mom.
I can't stand it! The pain!
- I got to get out of here! - You can't move, sir! Don't move!